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Management of life-threating bleeding in pre-hospital emergency care
PFEFFER, František
The topic of this bachelor thesis is ´Management of Life-Threatening Bleeding in Pre-hospital Emergency Care´. It consists of two parts - a theoretical one and a practical one. The objective of the first part is to introduce the readers to the issue of life-threatening bleeding and to define a certain theoretical frame needed for the purposes of understanding this topic. First, information about the anatomy of cardiovascular system is presented, such as what blood is and how it is disseminated throughout the body. Subsequently, the term of bleeding is explained, what the reasons for its occurrence are, its results and how a human body reacts to reverse this pathological situation. Last but not least, the definition of a life-threatening bleeding is stated as well as the current recommended procedures, non-pharmacological and pharmacological means that are being used in pre-hospital emergency care at the occurrence of this serious condition. The practical part contains information acquired via semi-structured interviews with 6 emergency medical workers. These were first analysed and subsequently divided into 11 categories with the purpose of - 1. To discover what diagnostic-therapeutic options and knowledge paramedics working at the ground and air rescue service in the regions of South Bohemia and Plzeň possess. 2. To compare the acquired information among the regions stated above. We believe that the set objectives have successfully been fulfilled and thus it is possible to get an insight into the current procedures that emergency medical workers apply daily in pre-hospital emergency care, encountering a patient suffering from a life-threatening bleeding.
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Life-threatening bleeding and possibilities of application of transfusion products in pre-hospital care
KLIMEŠOVÁ, Veronika
The bachelor's thesis deals with the issue of life-threatening bleeding and the possibilities of transfusion application already in pre-hospital care. As regards transfusions applied in pre-hospital emergency care, this is a relatively new issue that is currently taking place in the Czech Republic through clinical research, therefore the bachelor's thesis does not contain much data from pre-hospital emergency care. Thesis is divided into the theoretical part and the practical part. In the theoretical part, the anatomy and physiology of the body's blood circulation and physiological hemostasis are briefly described for better orientation in this area. Subsequently, the issue of bleeding is described along with its characteristics including the division and following development of hemorrhagic shock up to multi-organ dysfunction syndrome. Symptoms and therapies taking place in pre-hospital emergency care at the scene of the event by a paramedic. In conclusion, the issue of transfusion is addressed, from characteristics to product types, application principles, history and current therapy taking place in pre-hospital emergency care. The practical part was carried out through qualitative research, using the method of semi-structured interviews, which were anonymous, recorded in the course and subsequently processed. There were prepared 25 questions in advance for the interview, divided into 6 categories, to which I was answered by a total of 7 paramedics. The interviews took place at the exit groups of the South Bohemian Region Health Rescue Service. The data collected represented the awareness of paramedics about the issue and therapeutic procedures from the point of view of the rapid medical assistance crew.
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Life-threatening bleeding in prehospital emergency care
KLOUDA, Martin
The bachelor thesis deal with "Life threatening bleeding in pre-hospital emergency care" which is divided into two parts, theoretical and practical. The theoretical part is devoted to blood and blood circulation from the beginning. In addi-tion, the distribution of blood flow according to the type, amount, cause and place of blood flow is shown. Subsequently, the organism physiologically stops the bleeding and pathophysiology of large blood loss, showing hemorrhagic shock and multiorgan dysfunc-tion syndrome. Lastly, in the theoretical part of the therapy, life-threatening bleeding from the point of view of lay rescuers, paramedics in pre-hospital emergency care and subsequently in emergency non-hospital care. In the practical part, object 1 was set - to map the level of the theoretical knowledge of paramedics in the treatment of life threatening bleeding in pre-hospital emergency care. Based on this goal, the research question 1 was identified - how are paramedics familiar with recommended treatments for life-threatening bleeding in pre-hospital urgent care? The practical part is 6 semistructured interviews with paramedics performing their profession at the Rescue Emergency Service in České Budějovice containing 16 questions divided into 11 categories for the clarity of the information obtained. The result of the practical part pointed to the insufficient readiness of the theoretical knowledge of paramedics and ignorance of their competencies without the indication of the doctor mentioned in Decree No. 55/2011 Coll., §17. The conclusion of the thesis con-tains suggestions for improving this fact.
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